<form name="frm" action="<?php echo $this->site['base_url']?>quiz/save" method="post" enctype="multipart/form-data">
<table class="gioithieu"  style="width:658px" border="0" align="left">
          <tr>
            <td class="gioithieu_title" ><?php echo Kohana::lang('quiz_lang.lbl_title') ?>?</td>
          </tr>
		  <tr>
            <td><p class="desctext">
			Setting goals is vital to accomplishing both your daily and long-term agendas.  By directing your attention to a specific area, you are able to use different strategies to get the results you want. <br>
												<br>

												Goal setting is a key component in leadership, team-building, and overall professional productiveness.  This assessment will find your strengths and weaknesses in setting goals.  Knowing your strengths and weaknesses will help you establish a more effective way to set and achieve your goals. <br>
												
											</td>
          </tr>
		  <tr>
            <td  align="left" style="padding-left:25px">
            
				<?php 
				$i=0;
				foreach($mlistQuestions as $listQuestions) {
				$i++;
				?>
				<p class="desctext"><span class="schedhead"><?php echo $i.'.&nbsp;'; echo $listQuestions['questions_title']?></span><br>
				<?php foreach($mlistAnsers as $list){
					if($list['questions_id']==$listQuestions['questions_id']){
				?>
					<input type="radio" name="txt_q<?php echo $i?>" value="<?php echo $list['answers_id']?>"><?php echo $list['answers_title']?><br>

					<?php }
					}
					?>
				
				<hr size="1"  class="quiz">
				<?php 
				}
				 ?>
                
	 </td></tr>
	 <tr><td align="left" >
		<table border="0" cellspacing="0" cellpadding="2" align="center">
		<tr> 
		<td valign="top" ><strong>First 
				Name</strong>
		
				<input type="text" name="FirstName" size="24">			</td>
		<td valign="top" width="190"><strong>Last 
				Name</strong><br>
				<input type="text" name="LastName" size="24">			</td>
		<td valign="top" width="190"><strong>Job Title</strong><br>
				<input type="text" name="jobtitle" size="13">			</td>
		</tr>
		
		<tr> 
		<td colspan="3" ><strong>Organization 
				Name</strong><br>
		
				<input type="text" name="organization" size="62" maxlength="100">
				<br>			</td>
		</tr>
		
		
		<tr> 
		<td colspan="3" valign="top"><strong>Organization 
				Address</strong><br>
				<input type="text" name="address" size="62" maxlength="200">			</td>
		</tr>
		
		<tr> 
		<td valign="top" width="190"><strong>City</strong><br>
				<input type="text" name="city" size="24" maxlength="50">			</td>
		<td valign="top" width="190"><strong>State/Province/Region</strong><br>
				<input type="text" name="state" size="24" maxlength="50">			</td>
		<td valign="top" width="190">&nbsp;</td>
		</tr>
		
		<tr> 
		<td valign="top" width="190"><strong>ZIP/Postal 
				Cod</strong>e<br>
		
				<input type="text" name="zipcode" size="12" maxlength="15">			</td>
		<td colspan="2" valign="top"><strong>Country</strong><br>
				<select name="country" size="1">
										<option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Anguilla">Anguilla</option><option value="Antarctica">Antarctica</option><option value="Antigua And Barbuda">Antigua And Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Bouvet Island">Bouvet Island</option><option value="Brazil">Brazil</option><option value="British Indian Ocean Territory">British Indian Ocean Territory</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="East Timor">East Timor</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="England">England</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Espana">Espana</option><option value="Estonia">Estonia</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Guiana">French Guiana</option><option value="French Polynesia">French Polynesia</option><option value="French Southern Territories">French Southern Territories</option><option value="Gabon">Gabon</option><option value="Gambia">Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Great Britain">Great Britain</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard and Mc Donald Islands">Heard and Mc Donald Islands</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, Republic of">Korea, Republic of</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia, Federated States of">Micronesia, Federated States of</option><option value="Moldova, Republic of">Moldova, Republic of</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="Netherlands Antilles">Netherlands Antilles</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Ireland">Northern Ireland</option><option value="Northern Mariana Islands">Northern Mariana Islands</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn">Pitcairn</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Reunion">Reunion</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Russian Federation">Russian Federation</option><option value="Rwanda">Rwanda</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa (Independent)">Samoa (Independent)</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Scotland">Scotland</option><option value="Senegal">Senegal</option><option value="Serbia and Montenegro">Serbia and Montenegro</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="South Africa">South Africa</option><option value="South Korea">South Korea</option><option value="South Sandwich Islands">South Sandwich Islands</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="St. Helena">St. Helena</option><option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option><option value="Suriname">Suriname</option><option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Taiwan, R.O.C.">Taiwan, R.O.C.</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="United States">United States</option><option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option><option value="Venezuela">Venezuela</option><option value="Viet Nam">Viet Nam</option><option value="Virgin Islands (British)">Virgin Islands (British)</option><option value="Virgin Islands (U.S.)">Virgin Islands (U.S.)</option><option value="Wales">Wales</option><option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option>
				</select>		</td>
		</tr>
		
		
		<tr> 
		<td valign="top" width="190">Phone<br>
				<input type="text" name="phone" size="24" maxlength="55">			</td>
		<td valign="top" width="190">&nbsp;</td>
		<td valign="top" width="190">&nbsp;</td>
		</tr>
		
		<td valign="top" width="190"><strong>E-mail</strong><br>
			<input type="text" name="Email" size="24">		</td>
		<td valign="top" width="190">&nbsp;</td>
		<td valign="bottom" width="190">&nbsp;</td>
		
		</tr>
		
		<td valign="top" width="190" colspan="3">
		  <p class="desctext"></td>
		</tr>
		<tr> 
		<td colspan="3"><a href="javascript: submitThisForm();"><u>Click here to see instant results<br></a></td>
		</tr>
		</table>
	 </td>
	 </tr>
     
</table>
 </form>
	<script language="JavaScript" type="text/JavaScript">
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					if (btn[i].checked) {cnt = i; i = -1;}
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			if (cnt > -1) return btn[cnt].value;
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		function Assessment(num) {
			var errors='';
			for (var i=1; i<=num; i++)
			{
				if (valButton(eval("document.frm.txt_q" + i)) == null) errors += '\n'+i;
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			if (errors){
			alert('Please answer the following questions:'+errors);
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